| NPI | 1235520750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 164466) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: KY 164466) |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2022-09-02 |